<!DOCTYPE html>
<html lang="en">
    <head>
        <meta charset="utf-8">
        <meta http-equiv="X-UA-Compatible" content="IE=edge">
        <meta name="viewport" content="width=device-width, initial-scale=1">
        <meta name="description" content="">
        <meta name="author" content="">
        <link rel="icon" href="../../favicon.ico"/>
        <title>Schedule</title>
        <link href="resources/css/bootstrap.min.css" rel="stylesheet"/>
        <link href="resources/css/general.css" rel="stylesheet"/>
        <link href="resources/css/payment.css" rel="stylesheet"/>
        <script type="text/javascript" src="resources/js/jquery-2.1.1.min.js"></script>
        <script type="text/javascript" src="resources/js/payment.js"></script>
    </head>

    <body>
        <jsp:include page="nav-bar.jsp" />
        <div class="container">
            <h4>Payment</h4>

            <form id="declaration-form" role="form" action="pay" method="post">
                <div class="form-group ">
                    <label>Credit Card</label>
                    <label class="form-control"><input type="radio"  name="cardType" value="VISA" /> VISA</label>
                    <label class="form-control"><input type="radio"  name="cardType" value="Master" /> Master</label>                    
                    <input name="name" type="text" class="form-control" placeholder="Card Holder Name">
                    <input name="cardNumber" type="text" class="form-control" placeholder="Card Number (XXXX-XXXX-XXXX-XXXX)">
                    <input name="expiryDate" type="text" class="form-control" placeholder="Expiry Date in the format MMYY">
                    <input name="cvc" type="text" class="form-control" placeholder="CVC number (3 digit number on the back of your card)">
                </div>
                <label>Amount (USD): ${amount}</label><br />
                <button type="submit" class="btn btn-default">Pay Now</button>
            </form>
        </div>
    </body>
</html>
